DR. BRENT STEWART BULTEMEIER (NPI# 1821104332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821104332 |
| Entity Type | Individual |
| Full Name | DR. BRENT STEWART BULTEMEIER |
| Credential | D.C. |
| Practice Address |
3207 New Boston Rd Texarkana TX 75501-3133 |
| Practice Telephone | 9038328765 |
| Practice Fax Number | 9038326060 |
| Mailing Telephone | 9038328765 |
| Mailing Fax Number | 9038326060 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5532 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD OF TEXAS | 8AJ387 | 01 |
| Street Address |
3207 NEW BOSTON RD |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043670938 | Holly Cunningham | Chiropractor | 2905 Genoa Rd, Texarkana, AR 71854-9358 | 2016-03-04 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1801272026 | Venita Jones Angwenyi | Chiropractor | 2006 N State Line Ave, Texarkana, AR 71854-3582 | 2015-08-11 |
| 1013300565 | Lauren Allday | Chiropractor | 4206 Richmond Pl, Texarkana, TX 75503-0003 | 2015-03-09 |
| 1982049953 | Elevation Health Texarkana LLC | Chiropractor | 3325 Richmond Rd, Texarkana, TX 75503-0707 | 2013-05-05 |
| 1780811315 | Christopher Primeaux Chiropractic P.a. | Chiropractor | 7486 Us Highway 59 S, Texarkana, TX 75501-1285 | 2009-06-22 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1568508620 | Paul D. Baker | Chiropractor | 204 Arkansas Blvd, Texarkana, AR 71854-1904 | 2007-01-29 |
| 1598856700 | Joseph Allen Young | Chiropractor | 1718 Richmond Rd, Texarkana, TX 75503-2415 | 2006-09-27 |
| 1790882330 | Randall Johns | Chiropractor | 3316 Richmond Rd, Texarkana, TX 75503-0703 | 2006-09-17 |
| Find all providers in TEXARKANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.